| NPI | 1831610187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 6496) |
| 106H00000X Marriage & Family Therapist (Licence: ID 8231) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-09-06 |